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General NPI Number Information
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NPI Number | 1972957389
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Entity Type | Organization
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Legal Business Name | HOUSTON FAMILY FOOT & ANKLE, PLLC
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Dates
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Enumeration Date | 04/21/2016
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Last Update Date | 05/31/2016
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Provider Practice Location Address
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Address Line | 7575 SAN FELIPE ST SUITE 301
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City | HOUSTON
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State | TX
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Zip | 77063-1711
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Country | US
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Telephone | 713-974-4511
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Fax |
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Provider Business Mailing Address
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Address Line | 7575 SAN FELIPE ST SUITE 301
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City | HOUSTON
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State | TX
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Zip | 77063-1711
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Country | US
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Telephone | 713-974-4511
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Fax |
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Authorized Official
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Title or Position | PODIATRIST- SOLE MEMBER
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Name | DR. TERI LYNN BAKER
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Credential | DPM
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Telephone | 918-857-3416
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 2208
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License Number State | TX
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